Organization
HARBOR CARE CORPORATION
Active
Other names
Harbor Care Reedwood
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS LESTER (CEO)
(503) 232-5767
Entity
Organization
Contact information
Practice address
3540 SE FRANCIS ST, PORTLAND, OR 97202-3350
(503) 232-5767
(503) 234-4162
Mailing address
3540 SE FRANCIS ST, PORTLAND, OR 97202-3350
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
800091
OR
314000000X
Skilled Nursing Facility
800091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800091
—
OR
Enumeration date
07/04/2006
Last updated
12/28/2007
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